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2021 Sanctioning Application
2021 Move United Sanctioned Competition - Sanctioning Application
Please complete the form below:
2021 Move United Sanctioning Application
I have read and agree to the Move United sanctioning requirements.
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I agree to have a COVID 19 plan in place for my event and communicate the plan to participants and attendees.
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Agree
Chapter Name
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Ability360 Sports & Fitness Center
Ability First Sports
AbilityPLUS, Inc.
ACCESS of Wilmington
AccesSportAmerica
AccesSurf, Hawaii Inc.
Achieve Tahoe
Adaptive Action Sports
Adaptive Adventures
Adaptive Expeditions
Adaptive Outdoor Education Center
Adaptive Sports and Recreation Association (ASRA)
Adaptive Sports Association
Adaptive Sports at Mount Snow
Adaptive Sports Center of Crested Butte
Adaptive Sports Connection
Adaptive Sports Foundation
Adaptive Sports IOWA
Adaptive Sports New England
Adaptive Sports Northwest
Adaptive Sports Partners of the North Country
Adaptive Sports Program - Helen Hayes Hospital
Adaptive Sports Program New Mexico
Adaptive Sports Program of Ohio
Adaptive Wilderness Sports Of McCall (AWeSOMe!)
Adventure Amputee Camp Inc
Adventures Without Limits
Angel City Sports
AquAbility, Inc.
Arizona Adaptive Watersports
Arizona Disabled Sports
Baltimore Adaptive Recreation and Sports
Bart J. Ruggiere Adaptive Sports Ctr, Inc.
Bay Area Association of Disabled Sailors
Bay Area Outreach and Recreation Program
Bay Area Volleyball Academy - BAVA Beach ParaVolleyball
Bennett Institute Physically Challenged Sports of Kennedy Krieger
BlazeSports America
Blue Ridge Adaptive Snow Sports (BRASS)
Boise Adaptive Snowsport Education (BASE)
Breckenridge Outdoor Education Center (BOEC)
Bridge II Sports
Burke Rehabilitation Hospital Adaptive Sports Program
Cannonsburg Challenged Ski Association
Capital Region Nordic Alliance (CRNA)
Central California Adaptive Sports Center
Central Florida Dreamplex, LLC
Central Maine Adaptive Sports
Central Vermont Pioneers Inc.
Challenge Alaska
Challenge Aspen
Challenged Athletes of West Virginia
Challenge Foundation
Charles T. Sitrin Health Care Center, Inc.
Chesapeake Region Accessible Boating (CRAB)
Children's Lightning Wheels
City of Reno
Clemson Adaptive Sports
Coastal Adaptive Sports
Colorado Discover Ability
Common Ground Outdoor Adventures
ComMotion - Community in Motion
Courage Kenny Rehabilitation Institute
Crotched Mountain Accessible Recreation and Sports
Dairyland Sports
Dare2Tri Paratriathlon Club
Disabled Athlete Sports Association (DASA)
Disabled Sports Eastern Sierra
Dixie Wheelchair Athletic Association, Inc.
DREAM Adaptive Recreation
DSUSA Los Angeles - The Unrecables
DSUSA Orange County - The Achievers
DuMyon Martial Arts
Eagle Mount Billings
Eagle Mount Bozeman
Eagle Mount Great Falls
EDD Adaptive Sports
Far West Wheelchair Athletic Association
Florida Disabled Outdoors Association
Footloose Sailing Association
Foresight Ski Guides Inc.
Full Circle Farm Therapeutic Horsemanship
GallopNYC - Giving Alternative Learners UpLifting Opportunities, Inc.
Gaylord Hospital, Inc., DBA Gaylord Sports Association
Golf 4 The Disabled
Granite State Adaptive
Greater Buffalo Adaptive Sports
Great Lakes Adaptive Sports Association (GLASA)
Greek Peak Adaptive Snowsports
Green Mountain Adaptive Sports
Higher Ground Sun Valley, Inc.
Hillsborough County Adaptive Sports
Ignite Adaptive Sports
Kinetic Kids, Inc.
Lakeshore Foundation
Lakes Region Disabled Sports at Gunstock, Inc.
Leaps of Faith Water Ski Club dba LOF Adaptive Skiers
Live Water Foundation
Lone Star Paralysis Foundation
Louisiana GUMBO Inc.
Lounsbury Adaptive Ski Program
Maine Adaptive Sports & Recreation
Maryland Therapeutic Riding, Inc.
Medstar NRH Adaptive Sports & Fitness Program
Michigan Adaptive Sports
Michigan Sports Unlimited, INC
Midwest Adaptive Sports
Morgan's Wonderland Sports - STRAPS
Move Along, Inc.
National Sports Center for the Disabled
New England Disabled Sports
New England Healing Sports Association
Northeast Disabled Athletic Association
Northeast Passage
Northern Arizona Adaptive Sports Association
North Side Archery Club
Oak Hill Adaptive Sports And Fitness
Ogden Valley Adaptive Sports
Oklahoma Adaptive Sports Association
One Chair At A Time
On The Edge Children's Foundation
Operation Comfort
Operation Surf
ORCA Program - Southeast Alaska Independent Living, Inc.
Oregon Adaptive Sports
Outdoors for All Foundation
ParaSport Spokane
Pennsylvania Center for Adapted Sports
Prairie Grit Adaptive Sports
Rehabilitation Hospital of Indiana Sports Program
Rehabilitation Institute Of Michigan Foundation
RISE Adventures, Inc. DBA RISE Adaptive Sports
Rochester Accessible Adventures
Rochester Community Inclusive Rowing
Roger C. Peace Rehabilitation Hospital
S.M.C.L. Foundation & Associates Inc. Adaptive & Disability Sports Organization
Salt Lake County
Seattle Adaptive Sports
Servicemembers Undertaking Disabled Sports (SUDS)
Shirley Ryan AbilityLab
Ski Apache Adaptive Sports
Southeastern Wisconsin Adaptive Ski Program
Southern Arizona Adaptive Sports
Southwest Wheelchair Athletic Association
Spaulding Adaptive Sports Centers (Spaulding Rehabilitation Network)
Special Outdoor Leisure Opportunities (SOLO)
Sportable
Sports, Arts & Recreation of Chattanooga (SPARC)
Sports, Therapeutic and Adaptive Recreation (STAR) Association
Steamboat Adaptive Recreational Sports (STARS)
STRIDE Adaptive Sports
Team River Runner, Inc.
Telluride Adaptive Sports Program
Teton Adaptive Sports
The Center for Individuals with Physical Challenges
Therapeutic Adventures, Inc.
Three Rivers Adaptive Sports
Three Trackers of Ohio
Tri-State Wheelchair Athletic Association DBA Tri-State Wheelchair & Ambulatory Athletics (TSWAA)
Triumph Foundation
Turning Point - Paraplegics On Independent Nature Trips
Turnstone Center for Disabled Children and Adults, Inc.
Two Top Mountain Adaptive Sports Foundation Inc.
United States Driving for the Disabled
University of Central Oklahoma Center of Adaptive Sports
US Adaptive Recreation Center
US Electric Wheelchair Hockey Association
Vermont Adaptive Ski & Sports Association
Visually Impaired & Blind Skiers
Warrior Sailing
Wasatch Adaptive Sports
Waterville Valley Adaptive Sports
Wichita Adaptive Sports INC
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Youth Challenge
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Sanctioned Sports
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State / Province / Region
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Afghanistan
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Benin
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Bolivia
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Brazil
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Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
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Congo, Democratic Republic of the
Cook Islands
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Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
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Level Requesting
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If sanctioned by another governing body, please list:
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First
Last
Head Archery Judge's Email
Head Archery Judge's Phone
Will you be offering Powerlifting?
Yes
No
Facility Name
Facility Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Level Requesting
Level 1 (non-qualifying, educational level competition)
Level 2 (qualifying, more serious competition)
Level 3 (qualifying, attracting top-level competitors)
If sanctioned by another governing body, please list:
Head Powerlifting Referee
First
Last
Head Powerlifting Referee's Email
Head Powerlifting Referee's Phone
Will you be offering Shooting (airgun)?
Yes
No
Name of Facility
Address of Facility
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Level Requesting
Level 1 (non-qualifying, educational level competition)
Level 2 (qualifying, more serious competition)
Level 3 (qualifying, attracting top-level competitors)
If sanctioned by another governing body, please list:
Head Shooting Judge
First
Last
Head Shooting Judge's Email
Head Shooting Judge's Phone
Will you be offering Swimming?
Yes
No
Name of Pool
Address of Pool
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Level Requesting
Level 1 (non-qualifying, educational level competition)
Level 2 (qualifying, more serious competition)
Level 3 (qualifying, attracting top-level competitors)
If sanctioned by another governing body, please list:
Head Swimming Official
First
Last
Head Swimming Official's Email
Head Swimming Official's Phone
Will you be offering Table Tennis?
Yes
No
Name of Facility
Address of Facility
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Level Requesting
Level 1 (non-qualifying, educational level competition)
Level 2 (qualifying, more serious competition)
Level 3 (qualifying, attracting top-level competitors)
If sanctioned by another governing body, please list:
Head Table Tennis Official
First
Last
Head Table Tennis Official's Email
Head Table Tennis Official's Phone
Will you be offering Track & Field?
Yes
No
Name of Venue
Address of Venue
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Name of 2nd Venue (if applicable)
Address of 2nd Venue (if applicable)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Level Requesting
Level 1 (non-qualifying, educational level competition)
Level 2 (qualifying, more serious competition)
Level 3 (qualifying, attracting top-level competitors)
Is this sanctioned by another governing body?
USATF Sanctioned
WPA Approved
WPA Sanctioned through US Paralympics Track & Field
Head Track & Field Official
First
Last
Head Track & Field Official's Email
Head Track & Field Official's Phone
Other Sports Offered
What other Paralympic sports are offered as a COMPETITION during this event? (Check all that apply or list below)
Alpine skiing
Badminton
Biathlon
Boccia
Canoe
Cross-country skiing
Cycling
Equestrian
Football 5-a-side
Goalball
Judo
Para ice hockey
Rowing
Sitting volleyball
Snowboard
Taekwondo
Triathlon
Wheelchair basketball
Wheelchair curling
Wheelchair fencing
Wheelchair rugby
Wheelchair tennis
Other (list below)
Other Competition Sport 1
Other Competition Sport 2
Other Competition Sport 3
What other Paralympic sports are offered as a CLINIC during this event? (Check all that apply or list below)
Alpine skiing
Badminton
Biathlon
Boccia
Canoe
Cross-country skiing
Cycling
Equestrian
Football 5-a-side
Goalball
Judo
Para ice hockey
Rowing
Sitting volleyball
Snowboard
Taekwondo
Triathlon
Wheelchair basketball
Wheelchair curling
Wheelchair fencing
Wheelchair rugby
Wheelchair tennis
Other (list below)
Other Clinic Sport 1
Other Clinic Sport 2
Other Clinic Sport 3
What other Paralympic sports are you interested in offering, but do not currently offer? (Check all that apply or list below)
Alpine skiing
Archery
Badminton
Biathlon
Boccia
Canoe
Cross-country skiing
Cycling
Equestrian
Football 5-a-side
Goalball
Judo
Para ice hockey
Powerlifting
Rowing
Shooting Para sport
Sitting volleyball
Snowboard
Swimming
Table Tennis
Taekwondo
Track & Field
Triathlon
Wheelchair basketball
Wheelchair curling
Wheelchair fencing
Wheelchair rugby
Wheelchair tennis
Other Interest Sport 1
Other Interest Sport 2
Other Interest Sport 3